| NPI | 1467022301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDERSON LANE Operations Manager 980-414-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |